Spondyloarthritis is a type of arthritis that attacks the spine and, in some people, the joints of the arms and legs. It can also involve the skin, intestines and eyes. The main symptom (what you feel) in most patients is low back pain. This occurs most often in axial spondyloarthritis. In a minority of patients, the major symptom is pain and swelling in the arms and legs. This type is known as peripheral spondyloarthritis. People in their teens and 20s, particularly males, are affected most often. Family members of those with spondyloarthritis are at higher risk. Many people with axial spondyloarthritis progress to having some degree of spinal fusion, known as ankylosing spondylitis. This more often strikes young males. Non-steroidal anti-inflammatory drugs (commonly called NSAIDs) offer symptom relief for most patients by reducing pain and swelling. Other medicines called biologics, including anti-TNF drugs (TNF blockers) and anti-IL-17 drugs (IL-17 blockers) are effective in patients who do not respond well enough to NSAIDs. Newer treatments have helped a great deal in controlling symptoms. Frequent fitness activities and back exercises are important in managing the symptoms of spondyloarthritis.
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